Active NPI
Teagan Elise Kistler
- Physician Assistant
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 11406 US 301 S
Riverview, FL 33578-6170 - Phone
- (813) 654-5331
- Fax
- (813) 654-5336
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
11406 US 301 S
Riverview, FL 33578-6170
Mailing address
11406 US 301 S
Riverview, FL 33578-6170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11406 US Hwy 301 S
TGH Urgent Care Powered by Fast Tra
Riverview, FL 33578-6170
Phone (813) 925-1903
16521 S US Hwy 301
TGH Urgent Care Powered by Fast Tra
Wimauma, FL 33598-2032
Phone (813) 928-1903
5464 Lithia Pinecrest Rd
Lithia, FL 33547-2853
Phone (813) 925-1903
799 W Lumsden Rd
TGH Urgent Care Powered by Fast Tra
Brandon, FL 33511-6261
Phone (813) 925-1903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients |
Locations
11406 US Highway 301 S
Riverview, FL 33578
Phone (813) 507-0540
5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400
16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700
200 N Bryant Ave
Ste 10
Edmond, OK 73034
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1063718013
-
- Primary Care Clinic/Center
- Brandon, FL
- NPI 1447514716
-
- Urgent Care Clinic/Center
- Punta Gorda, FL
- NPI 1174336119
-
- General Practice Physician
- Wesley Chapel, FL
- NPI 1194198382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1407685241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11406 US 301 S",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335786170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11406 US 301 S",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335786170",
"telephone_number": "813-654-5331",
"fax_number": "813-654-5336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTLER",
"first_name": "TEAGAN",
"middle_name": "ELISE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.